Discussion Forums > Thalassemia Major

Reduce Billirubin

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Andy Battaglia:
Optimal and normal for a thal major are two different things. Almost all thals, minor through major will test high for bilirubin, as a result of the premature destruction of red blood cells. I suggest folic acid, B complex and the very important magnesium to help reduce the level.

Luana:
Thanks Andy.  I already take Folic Acid, I will start to take Magnesium as well.  Earlier, this year I have had two gallbladder attacks & the doctors suggested that it must be removed.  Do you think that this is affecting the bilirubin level?  All other liver function tests are normal, and there's no inflammation. 

Andy Battaglia:
It is the bilirubin that builds up in the gallbladder that causes sludge and stones. The bilirubin is the result of the constant breakdown of RBC's.

Luana:
Thanks Andy for your reply  :wink
Sure, my billirubin is high because of the continuous breakdown of RBC's, but do you think that once the gallbladder is removed, there will be an effect on the billirubin level?  Will there be any decrease, as the billirubin will flow more easily out of the common duct to the intestines?  Moreover, I am a bit concerned that after the gallbladder is removed, gallstones can still form later on! Is there any one here who could please share their experience after gallbladder removal surgery?
Sorry for to many questions.... but I am highly concerned, as I need to decide if to remove the gallbladder or not!!!

Andy Battaglia:
If the gallbladder is removed, bilirubin levels will normally return to normal within a few months. However, a "special" diet must be followed after gallbladder removal. Following a diet low in animal fat and high in fiber, with plenty of fruits and vegetables and also all types of nuts can help lessen the need for gallbladder removal. Thals will see higher levels of bilirubin, but unless it is causing painful gallstones, it's not any danger.

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